Andrew Parker Student Nurse Award
Andrew Parker Student Nurse Award
Daniel Branch
Daniel Branch University of Chester

While on placement in a care home providing step down support, this second-year learning disability nursing student helped a man with learning disabilities and autism make healthy lifestyle choices by devising a person-centred healthy lifestyle plan reflecting his love of computer games.

The man had a body mass index of 45, indicating extreme obesity, but found attempts to help him lose weight frustrating, triggering challenging behaviour and hampering his progress towards independent living.

Mr Branch motivated him with a computer games-themed healthy eating and activity programme, with rewards for completing activities based on his favourite games. He not only lost weight, but actually began to look forward to exercise.

Jemma James
Jemma James Northumbria University

Third-year nursing student Jemma James is passionate about caring for older people. She has helped care home residents successfully return to supported living in the community with her holistic approach to care and comprehensive care planning, using the contacts she has built in social and care services to develop robust business cases.

The delirium champion and Nursing Now ambassador presents at care home forums and trains local police about dementia support in the community – sometimes at 4am to catch the night shifts. Her contributions on consultations help shape nursing standards and the design of the syllabus to ensure that older people’s care is fully included.

Emily Kavanagh, Alice Waddington and Eve Hesketh
Emily Kavanagh, Alice Waddington and Eve Hesketh Edge Hill University

Inspired by a mum’s story of how her daughter Alice was unable to communicate with healthcare professionals, these learning disability nursing students have been raising awareness of Makaton signing with their university peers in other specialties.

After engaging with Alice’s mum, the student quality ambassadors began promoting the use of Makaton in learning disability champion workshops at the university, helping adult, child and mental health students develop their knowledge and practice. The communication aid they created has since been downloaded more than 5,200 times.

They work tirelessly to spread their work further afield, engaging with a wide and diverse population through social media.

StreetDoctors nursing student team
StreetDoctors nursing student team City, University of London

These volunteers deliver targeted teaching sessions that empower young people to deliver first aid to people affected by violence.

The sessions, delivered at pupil referral units, youth offending institutions, youth clubs and schools, explain what to do in the event of bleeding from a knife or gunshot wound, or if someone is unconscious.

Feedback from the young people and their caseworkers has been overwhelmingly positive. Post-session evaluation shows 93% understood the potentially fatal consequences of violence, 93% knew what to do if someone is bleeding or unconscious and 86% agreed that they would be more willing and able to act if first aid was needed.

Donna Walker
Team Hydr8 University of South Wales

Team Hydr8 recognised a need for a visual cue to identify patients on a fluid balance chart or at risk of dehydration. They persuaded the manufacturer of existing water jug lids to create them in dementia-friendly yellow and provide them free for a pilot scheme.

More than 3,000 lids are now used throughout Cwm Taf University Health Board, with the initiative also being taken up by hospitals in Jersey and Sheffield, the latter reporting hydration levels improving by 400%.

The lids will be used in local nursing homes and the team is meeting health boards throughout Wales in the hope it will become standard practice across the country.

Cancer Nursing Award Sponsored by Macmillan Cancer Support
Cancer Nursing Award Sponsored by Macmillan Cancer Support
Karen Cock
Colorectal two-week wait team Royal Cornwall Hospitals NHS Trust

Historically people with suspected cancer were referred to a geographically blind service and slotted into existing consultant clinics on an ad hoc basis, often seen by junior medics with minimal colorectal experience. This team of specialist nurses provides up to ten clinics per week, seeing nine patients in each session, as well as telephone consultations.

Lead nurse Karen Cock created standardised assessments and investigation protocols, and developed and delivered training and clinical supervision.

Patient waits have reduced from two weeks to 1-2 days, with a central location reducing travel times. Patients receive an endoscopy appointment time within five days of their assessment.

Denise Crouch
Denise Crouch University Hospitals of Derby and Burton NHS Foundation Trust

Macmillan cancer lead nurse Denise Crouch saw that the lack of health and well-being events in her trust’s cancer pathways was having a negative effect on patients’ experience and recovery.

Ms Crouch worked with patients to identify their priorities, then collaborated with a range of organisations to fill the support gaps. She has delivered health and well-being days and a recovery programme of exercise and rehabilitation.

In its first year all the 162 referrals took part, with 83% attending the weekly sessions and 17% using the personalised home programme. Of those, 96% reported increased physical activity levels, 90% expressed decreased fatigue levels and 94% had an increased health state score.

Clatterbridge in the community team
Clatterbridge in the community team The Clatterbridge Cancer Centre NHS Foundation Trust

In response to feedback, the centre has extended its successful home treatment service, with specialist nurses delivering chemotherapy in safe and suitable areas in patients’ workplaces.

A thorough review of the legal risks was carried out, covering clinical governance, regulatory and work environment issues.

The team works closely with employers, with a positive response rate of 100%. Employers have willingly adapted a suitable space as a treatment room, meeting health and safety standards.

The team carries out reviews and inspections to ensure treatment is delivered safely and comfortably.  

The number of patients using the service is expected to increase quickly.

Catherine Lloyd-Bennett
Catherine Lloyd-Bennett Abertawe Bro Morgannwg University Health Board

The Rapid Diagnosis Centre at Neath Port Talbot Hospital sees people with vague symptoms – but whose GPs think might have cancer – within five days.

Clinical nurse specialist Catherine Lloyd-Bennett leads and develops the service, liaising with GPs throughout the board. She is the patients’ main worker before and during their episode of care, supporting patients with a significant diagnosis until they are transferred to the appropriate specialty.

In its first 20 months, the centre accepted 501 referrals – 11% had a cancer diagnosis and 40% a non-cancer diagnosis, with 92% patients diagnosed on clinic day. Patient feedback has been positive.

Amy Dugdale
Amy Dugdale Airedale NHS Foundation Trust

Macmillan gynaecology clinical nurse specialist Amy Dugdale recognised patients with ovarian cancer were missing out on a life-prolonging drug because they had not undergone the genetic screening that would make them eligible to receive it.

Her small district general hospital did not have the resources to provide the counselling that genetic screening required, and referrals to genetic centres could be time-consuming, resulting in delays in treatment.

Ms Dugdale implemented her nurse-led BRCA testing service, ensuring that she was trained and able to inform and counsel patients appropriately, changing the disease course for a large number of women under the trust’s care.

Child Health Award
Child Health Award
Joanna Broderick
Joanna Broderick Children and Family Health Devon

Community children’s nurse Joanna Broderick has developed a safe, structured oxygen-weaning guideline for babies with chronic neonatal lung disease that is transforming care for families in Devon Integrated Children’s Services.

The guideline provides details for when monitoring should take place and actions to be taken depending on oxygenation results. Ms Broderick successfully built a business case for the new equipment needed.

The process outlined in the guideline has halved the time taken to wean babies from an average of 168 hours to 68 hours. It has also improved the safety and effectiveness of the weaning process, as well as reducing the number of home visits families require.

Children's Hospital@Home team
Children's Hospital@Home team Whittington Health NHS Trust

The London-based team worked with inpatient units and outreach nurses to develop a pathway for home-based phototherapy for neonates with jaundice who would usually be treated in hospital.

The team purchased three phototherapy systems and provided training for the community team before launching the service. It offers daily home visits to monitor babies’ jaundice levels, support the family with feeding and ensure the condition improves.

Evaluation shows a significant reduction in the average length of stay for babies with jaundice, with feedback showing 100% positive patient satisfaction. There have been no serious clinical incidents.

PANDA unit team
PANDA unit team Salford Care Organisation

This children’s ambulatory care unit based at Salford Royal in Greater Manchester provides unscheduled care for children in a large city teaching hospital with no other children inpatient services on site.

By adopting a nursing rather than traditional medical model and by placing experienced children’s nurses at the forefront of senior clinical decision-making, the unit has contributed to a significant reduction in the number of referrals to inpatient children’s services and is ensuring most patients are cared for locally, usually at home.

Feedback shows parents and families are satisfied with the model and there has been no increase in adverse incidents.

Katrina Sealey
Katrina Sealey CSH Surrey

Angry, ANGRY Angus is a suite of tools developed by specialist practitioner school nurse Katrina Sealey to support schools delivering Key Stage 1 personal, social and health education.

The book, e-book, activity sheets and lesson plans help 4-6 year olds to understand and express their feelings, and acquire skills to support their future mental health.

Ms Sealey designed and implemented the pilot, including distributing 292 packs to 92 schools and liaising with them. She analysed the results and drew on them to influence the final product, and is now driving its introduction to all 317 of Surrey’s primary and infant schools. The book is available in bookshops and online.

Asthma friendly schools nurse team
Asthma friendly schools nurse team Whittington Health NHS Trust

The team has worked collaboratively with 63 London state schools over two years to implement five asthma-friendly standards. It developed a pathway, wrote comprehensive policies and a generic care plan, and standardised assessment and management of asthma deterioration.

Training was provided on a whole-school basis, including teachers and administration staff, and involved whole-school assemblies, parent coffee mornings and student focus groups. A pre- and post-audit of implementation of the standards was completed.

The project has achieved a steady decline in secondary care admissions.
Standard compliance pre- and post-intervention includes an increase in the number of emergency inhalers and spacers available from 11% to 100%.

Commitment to Carers Award Sponsored by NHS England
Commitment to Carers Award Sponsored by NHS England
Carers and young carers working group
Carers and young carers working group Newcastle upon Tyne Hospitals NHS Foundation Trust

A team led by equality and diversity lead Lucy Hall is transforming the trust’s culture after finding that carers were not always recognised, felt excluded from care or were given inconsistent information about their involvement in admission and discharge.

The team’s comprehensive programme includes carer and young carer packs and posters, flexible visiting, and the provision of meals and fold-up beds for overnight stays.

Questions about carers in nursing assessments have been changed and guidance provided to all staff, along with initiatives to raise awareness.

Carers’ feedback has been positive, and they have reported improvements in their experience and wellbeing.

Jodie Deards
Jodie Deards East and North Hertfordshire NHS Trust

Carers lead Jodie Deards recognised that only one fifth of the 5,000 local young carers were accessing support, so she set about creating an app to improve the information available and deliver it in a format young people said they wanted.

Being empowered with information means young carers become less reliant on healthcare professionals for signposting.

The app, called Young Carers in Hertfordshire, was co-produced with young carers and is available at no cost on Google Play.

It was evaluated in a survey at the annual Young Carers Conference, with 95% of those responding saying it was useful and they would recommend it.

Dementia Carers’ Support Service
Dementia Carers’ Support Service Cambridgeshire and Peterborough NHS Foundation Trust

Nurses Fe Franklin and Sally Kitchin set up this service to support carers of a relative with dementia after realising they were struggling to access services and support.

They have recruited former carers who have gone through the same experience and wish to ‘give something back’, creating a team of volunteer befrienders who offer one-to-one support and coaching for current carers, giving them the confidence to seek help and articulate what they need.

The volunteers hold monthly peer group supervision sessions for ongoing support and self-development, helping coordinator Ms Kitchin to pick up on mental and physical health needs.

I-Care project
I-Care project Bolton NHS Foundation Trust

After a meeting with local carers to discuss their experiences and pull together a shared concept of what ‘good’ would look like, the I-Care project set out to deliver that vision.

It issued carers with identity tags and arranged open visiting, free car parking, a central role in care planning and the opportunity to offer important information about their loved one.

It has provided communal areas and comfort bags for overnight stays.

As a result, carers say their experience has improved significantly. They report better mental and physical health as well as lower stress, and feel they are able to play an integral part in care delivery.

Young carers project
Young carers project Whittington Health NHS Trust

Young carers in London reported difficulty in accessing services and communicating with healthcare professionals because they did not know their rights.

This project, led by nurse consultant Colette Datt, set out to empower them, including issuing identification cards and holding workshops so young carers know their rights and can obtain the support they are entitled to. The identification cards are being piloted, with young carers providing feedback via workshops and questionnaires.

The identification cards can also be used to access information about people’s condition, and young carers say they will help when they need to pick up prescriptions.

Community and General Practice Nursing Award Sponsored by NHS England
Community and General Practice Nursing Award Sponsored by NHS England
Liverpool Diabetes Partnership nursing team
Liverpool Diabetes Partnership nursing team Aintree University Hospital NHS Foundation Trust

The community clinics and home care being delivered by this innovative team of nurse specialists has been improving patient experience and outcomes in three health trusts.

The team, led by Colette Kelly, trains and supports GPs and practice nurses to ensure people with diabetes are seen by the right person with the right skills at the right time.

Evaluation shows an overall improvement in HbA1c results across the city and a 20% reduction in sight and kidney-related complications. There have been 12% fewer strokes and a 22% reduction in admissions to hospital as a result of hypoglycaemia. The team’s support has reduced admissions of people who are frequent attenders, and secondary care caseloads have fallen.

Health integration team
Health integration team South West Yorkshire Partnership NHS Foundation Trust

This team, led by Ellie Armitage, provides healthcare and support to 300 asylum seekers during their five to six-week stay in an initial accommodation centre.

It provides an initial health assessment on all new arrivals and continuous care for all physical health and emotional issues. The nurses take a holistic approach and provide a full timetable of activities and clubs for all age groups.

They have designed a wide range of pathways into differing specialties and work closely with the Home Office and many others to deliver the best outcomes for clients. In 12 months, the team has saved the NHS £990,000 in prevented emergency department attendances.

Rohit Sagoo
Rohit Sagoo Anglia Ruskin University

In his own time, Rohit Sagoo has been on a ‘grassroots nursing’ mission to improve the health of Sikh communities, building their trust with health services and making a significant improvement to organ donation rates.

He does this through social media platform British Sikh Nurses, engaging with key figures and attending community events. He visits temples UK-wide to discuss physical and mental health, and organ donation with non-English speakers. He appears on Sikh TV channels.

Mr Sagoo’s work with the blood cancer charity DKMS on donor drives across the UK has increased stem cell donors from Asian communities by about 10,000 registrants. He has registered approximately 1,200, with three patients receiving a stem cell donor.

Find out more: Using a grassroots approach to improve health in the Sikh population

Janine McKnight-Cowan BEM
Janine McKnight-Cowan BEM Derbyshire Community Health Services NHS Foundation Trust

This Queen’s Nurse developed the Five Guide – a simple tool to help health visitors explain to new mothers who have had a caesarean section why it’s important to take things easy.

The tool, created with the help of an RCN Foundation grant, helps clinicians explain abdominal healing, using their own hand to create a visual picture and highlight the five layers of skin are cut in the procedure.

The training Ms McKnight-Cowan developed will become mandatory across the trust. It has been completed by more than 130 health visitors, none of whom had previously received any training about cesareans.

Find out more: Celebrating Nursing Practice: Seven of the best projects

Childhood immunisation clinic guidelines team
Childhood immunisation clinic guidelines team RCN General Practice Nursing Forum

This team has developed the first guidance for the safe setting up and running of clinics in general practice, where the majority of immunisations are administered.

Their tips and advice, freely available online and as a poster, have been widely welcomed and received excellent feedback from Public Health England. The guidelines are also encouraging discussions on safe practice and help nurses negotiate extended clinic appointment times for families.

The team’s work also recognises how complex the immunisation programme is becoming and highlights the important role nurses play in it.

Find out more: RCN guidance will help general practice nurses reduce the risk of errors at immunisation clinics

Emergency Nursing Award
Emergency Nursing Award
Robert Fenwick
Robert Fenwick University Hospitals Birmingham NHS Foundation Trust

In his spare time, advanced clinical practitioner Robert Fenwick delivers an educational and evidence-based emergency medicine podcast – TheResusRoom.co.uk – with two colleagues.

The podcast engages the multidisciplinary team in online learning, and uses current evidence to question historical practice. It gives listeners the opportunity to learn at their own convenience and breaks down barriers to education caused by shift patterns.
More than 100 podcasts are available, and all are free to access. It has been downloaded more than 840,000 times in 179 countries, and is downloaded more than 44,000 times per month.

The podcast’s Twitter page is followed by more than 9,000 people, who discuss the evidence base for emergency medicine online.

Urgent and Emergency Care Practice Educator Network
Urgent and Emergency Care Practice Educator Network CapitalNurse

The network, led by CapitalNurse urgent and emergency care lead Susan Whaley, has standardised emergency care training in London to improve nurse retention and patient care.

Ms Whaley brought together practice educators in 27 London emergency departments across the capital’s five Sustainability and Transformation Partnerships to collaboratively design, develop and deliver a specialist qualification programme.

The training, which is based at trusts rather than universities, has been delivered to 162 emergency nurses who are early in their careers. Preliminary evaluation shows that this trust-based approach is around 30% less expensive, and enables more nurses to access training.

The set of educational standards, which has been developed by the network, makes the qualification portable between organisations.

Resus Team
Resus Team Kingston Hospital NHS Foundation Trust

A Care Quality Commission (CQC) inspection in 2016 highlighted a high number of new and inexperienced nursing staff at the trust as a cause for concern.

The resus team was developed to ensure that patients most in need of urgent attention receive the best possible care and outcomes. The team was developed through an extensive education programme, and the training of junior staff was prioritised.

Since the team’s creation, there has been a 70% reduction in the number of emergency calls from the resus room, and sepsis bundle implementation within an hour has risen from 46% to 90% of patients.

Staff satisfaction and retention have increased, and band 6/7 vacancies have fallen from 40% to 0%.

The CQC has praised the team’s early decision-making around end of life care, as well as its support for patients’ relatives and friends during resuscitation and dying.

Rapid Triage Eye Casualty Team
Rapid Triage Eye Casualty Team Barts Health NHS Trust

In the first three months of 2015, there were 118 breaches of the four-hour waiting time target in eye casualty at Whipps Cross University Hospital. This prompted a different approach – a rapid triage service based around skilled emergency nurse practitioners (ENPs) who are empowered to make clinical decisions, as well as raise concerns and escalate them where necessary.

A total of 10,545 patients attended eye casualty in 2018. After a consultation with an ENP, 27% were referred to primary care or optician services, and were provided with patient education, advice and minor treatments.

Four-hour breaches in eye casualty were reduced from 118 in the first three months of 2015 to five in the same period in 2018.

The team also offers telephone advice to patients, and manages urgent inpatient referrals.

Emergency Department End of Life Team
Emergency Department End of Life Team Sheffield Teaching Hospitals NHS Foundation Trust

An appraisal discussion by members of the team spawned the idea of developing an end of life pathway at Northern General Hospital’s emergency department. Staff were frustrated that patients nearing the end of life were arriving at the emergency department and being cared for on trollies rather than their preferred place of death, which is often their home.

With support from nurse director Angela Harris, a 24/7 robust pathway has now been established for all patients who choose to die in their own home. This pathway includes a ‘comfort box’ that contains items such as syringe drivers, incontinence pads and mouth care equipment.

A new room for bereaved families and friends of patients has been created at the hospital.

Excellence in Cancer Research Sponsored by Cancer Research UK
Excellence in Cancer Research Sponsored by Cancer Research UK
Margaret Brunton
Margaret Brunton Clinical Research Network North West Coast

Lancashire Teaching Hospitals NHS Foundation Trust is currently the highest recruiting site in England for STAMPEDE – a high-impact prostate cancer trial – but faced stopping recruitment due to a crisis in research nurse capacity.

The study would not have survived without the three-year contribution of taskforce research nurse Margaret Brunton, who was seconded to the trust from Clinical Research Network North West Coast. She has helped streamline the patient pathway to ensure that deadlines for entry are not missed.

The study complexity has soared in terms of ongoing patient management and requests for historical data, yet she has continued to support greater numbers than ever with her holistic care. Patient feedback has been hugely positive, with Ms Brunton’s telephone follow-up reducing the need for patients to travel what for some is a 160-mile round trip.

Ben Hood
Ben Hood Newcastle upon Tyne Hospitals NHS Foundation Trust

Newcastle CRUK (Cancer Research UK) senior nurse Ben Hood developed multimedia patient information resources for early clinical trials to support patients attending the Sir Bobby Robson Cancer Trials Research Centre who have no proven treatment options left.

He coordinated all patient and public involvement (PPI) discussion groups and drafted and proofread all the documents that emerged from the groups, ensuring the patient voice won when it conflicted with the trust’s policies on publishing information.

He has kept patients as the driving force for the project, supporting PPI members at public events to discuss its focus. He has developed a resources website, produced staff video interviews, and is now leading on development of a phone app.

Rachel Taylor
Rachel Taylor University College London Hospitals NHS Foundation Trust

Rachel Taylor is the chief investigator and grant holder of the Sarcoma Assessment Measure (SAM) study to develop and validate a sarcoma-specific patient reported outcomes questionnaire that will improve communication between patients and their clinicians.

She established an interdisciplinary research team that reflects the diversity of healthcare professionals who care for patients with sarcoma, including nurses, psychologists, medical oncologists, a paediatrician and an orthopaedic surgeon. Patient representatives also contribute to the team as co-researchers.

SAM was one of the biggest recruiting studies in sarcoma last year, thanks to the involvement of a sarcoma research nurse in protocol development. By mapping care pathways they identified time points and people who could approach patients.

Elaine Blowers and Clare Dickinson
Elaine Blowers and Clare Dickinson The Christie NHS Foundation Trust

These senior nurses took a whole-organisation approach to raising awareness of clinical trials, so that all patients coming into contact with trust staff have an equal opportunity to participate in research.

They implemented a comprehensive trust-wide programme to take their message to every member of staff at every level.

Their Introduction to Research programme includes talks, presentations and videos featuring key figures. They developed trained research champions and a staff research engagement group and created research cafes for informal talks in public hospital spaces. The senior nurses also worked with HR to ensure that job adverts, job descriptions, inductions and performance documentation incorporate research.

Lisa Price
Lisa Price Newcastle upon Tyne Hospitals NHS Foundation Trust

Paediatric oncology research sister Lisa Price is dedicated to ensuring children and young people participating in clinical research trials receive the best support possible.

Under her leadership, a 12-strong paediatric oncology research nurse and clinical trial team has become a leading international research unit. By pioneering an enhanced research nurse role, she has enabled the team’s nurses to obtain consent. This has increased the number of tumour samples collected for banking, meaning the team is now the UK’s largest contributor.

These successes have been driven by her focus on compassionate care and excellent listening and communication skills. She engages patients of all ages and ensures they have a broad understanding of their disease, treatment and research.

Healthcare Assistant Award
Healthcare Assistant Award
Diane Smyth
Diane Smyth Tees, Esk and Wear Valleys NHS Foundation Trust

Support worker Diane Smyth has been instrumental in raising the profile of the mental health team at HMP Holme House, a category C men’s prison in Stockton-on-Tees. A knowledgeable and determined advocate for the men she looks after, she gives them time and understanding as well as escalating concerns if necessary, helping them to help themselves.

Her holistic approach addresses patients’ physical well-being, whether putting plans in place for dressing changes, or requesting their diet and fluids are monitored. This involves liaising with multiple agencies across the prison, including management teams and prison officers. She also liaised with several agencies to ensure a man could attend his mother’s funeral.

Elaine Gallagher
Elaine Gallagher Spectrum Community Health CIC

By building trusting relationships with commercial sex workers in the community, Elaine Gallagher is delivering much-needed services and helping to identify and keep safe women who are at risk of abuse.

She travels to see these vulnerable patients on the street, in their homes or in other workplaces, to deliver STI testing, health promotion, pregnancy testing and contraception advice. The outreach coordinator for Wakefield Integrated Sexual Health Service currently supports 30 escorts, signposting them to services that can help with other concerns, such as housing.

She regularly works long, unsociable hours, seeing patients evenings and weekends, and strives to engage new patients through online research and visiting suspected sex work locations.

Tanya Smith
Tanya Smith Balhousie Care Group

Huntly Care Home’s dementia ambassador and activities coordinator is dedicated to person-centred care and supporting people as individuals to achieve their goals. Her passion for community engagement has ensured that residents remain part of their community, with Ms Smith organising regular visits from schoolchildren and for residents to attend school events.

She holds tea dances to raise funds for national charities such as Alzheimer Scotland and completed a 15-mile fundraising walk. Each year she runs a resident awards programme, celebrating the achievements of those she supports.

Ms Smith pushes herself to achieve extra qualifications, attending Generations Working Together meetings and conferences despite hours of travel, and taking back what she has learned to put into practice.

Lisa Morgan
Lisa Morgan Newcastle upon Tyne Hospitals NHS Foundation Trust

Lisa Morgan was appointed the cardiothoracic theatres family-centred care lead after displaying exceptional skills in communicating with patients and families.

She created a training package for staff to educate them on the importance of family-centred care and support them to meet the emotional and psychological needs of patients and carers.

She also developed communication aids that give patients and carers vital information to help alleviate concerns, including an electronic book that translates information into different languages.

She organises teddy bears and certificates for children having surgery and alters shifts so she has more time to dedicate to patients before their surgery.

Courtney Hughes
Courtney Hughes Oxford University Hospitals NHS Foundation Trust

As well as providing exemplary compassionate care as senior nursing assistant colposcopy in the women’s centre at John Radcliffe Hospital, Courtney Hughes has supported thousands of people in Oxfordshire, despite having myalgic encephalomyelitis (ME).

The charity Secret Santa 365, which she founded, has distributed more than 50,000 individually wrapped gifts, as well as essential items such as toiletries, to sick children and adults and their families, helping the homeless community and supporting women in refuges who have escaped domestic violence.

Feedback from families includes: ‘Without Courtney's help, Christmas in hospital would have been sad for us and a struggle.’

Innovations in your Specialty Award
Innovations in your Specialty Award
Stroke nurse practitioner team
Stroke nurse practitioner team University Hospital Southampton NHS Foundation Trust

Every nurse specialist member of this team signed up to a master’s programme to become an advanced nurse practitioner and through this, transform acute stroke care in their trust.

The nurse practitioners organise assessments, CT scans, chest X-rays and carotid ultrasounds, and prescribe, improving the patient journey.

As a result, patients receive faster access to care and treatment options. The number of patients who received a CT scan within one hour of hospital arrival has increased from 31% in 2015 to 60% in 2018, with 91% being scanned within 12 hours.

Every week, the team scrutinises each patient’s admission data to see where improvements might be made, and has extended its hours to offer round-the-clock cover.

Neomi Bennett BEM
Neomi Bennett BEM Neo-Innovations UK

Nurse inventor Ms Bennett observed that compression stockings were difficult to apply. This was validated by data from patient and nurse focus groups. So as a student she developed the Neo-slip, a slipper-style sock aid, before setting up a nurse-led enterprise to use it to improve patient outcomes.

She familiarised herself with NHS procurement, supply chain and warehousing considerations and ‘helped lots of patients to apply their stockings’, building a business that is sustainable and nurse-led. Patient outcomes are measured with the PROMs (patient reported outcome measures) questionnaire.

Now, helped by patient champions spreading the word, Neo-slip use is increasing on wards and sales at Boots are rising, with more than 10,000 units sold. Trials are taking place in France, Belgium and Holland.

HMP Bronzefield contraception and sexual health team
HMP Bronzefield contraception and sexual health team BPAS (British Pregnancy Advisory Service)

This team has introduced a contraceptive counselling and well-woman advice service in Europe's largest women’s prison.

It is passionate about offering a high-quality service to meet what it sees as a forgotten need, contributing to clients’ rehabilitation. Despite the busy and unpredictable environment, the BPAS team prides itself in being flexible and welcoming at all times.

In the team’s first six months, it provided confidential, non-judgemental counselling and education to 100 women, regardless of their release date. All but two of those women reported having had difficulty accessing these services before they were imprisoned.

Feedback shows the service has contributed to the women’s well-being and rehabilitation.

Safeguarding team
Safeguarding team West Hertfordshire Hospitals NHS Trust

This team of nurses works in covert operations with police to provide safe-and-well checks and safeguarding for women who have been trafficked.

Police identify potential victims, who are paid to attend a hotel room. There, the nurses supply condoms and pregnancy tests and offer physical checks before discussing the police’s role and referring women on if the individuals wish.

The nurses created safe-and-well packs with information on domestic violence and rape charities, victim support and NHS services.

Over four operations, 35 women have received safe-and-well checks, with two referred to police and four to domestic violence or sexual assault services.

Senior intern team
Senior intern team Barking, Havering and Redbridge University Hospitals NHS Trust

Inspired by the 2015 film The Intern, in which a character benefits from the advice and wisdom of a ‘mature’ intern, chief nurse Kathryn Halford decided to support new registrants by harnessing the experience of nurses who are working part-time in the run-up to retirement.

The ‘senior intern’ team supports newly qualified and newly recruited nurses by offering timely, one-to-one help in their clinical environment. It covers two hospital sites and works across all shifts including weekends and nights, where necessary.

A survey showed 97% of new nurses were happy with the support they received and the number of new nurses who left in the first year has dropped from 25% – the attrition rate before the team was introduced in 2017 – to 9% in 2018.

Leadership Award
Leadership Award
Taurai Matare
Taurai Matare Barts Health NHS Trust

As matron for ophthalmology at Whipps Cross University Hospital, advanced nurse practitioner Taurai Matare has transformed her unit and the care it provides by developing its care pathways and workforce over the past 14 years.

Clinical audits, feedback from patients and staff, as well as recruitment and retention data testify to the success of her vision. Recent examples include zero complaints in 2018 and a zero nurse vacancy rate in eye theatres.

The theatres were described as the ‘gold star’ of Whipps Cross by the Care Quality Commission, and 80% of the trust’s ophthalmology staff would recommend the unit as a place to work.

Lorna Wilkinson, Fiona Hyett and Denise Major
Lorna Wilkinson, Fiona Hyett and Denise Major Salisbury NHS Foundation Trust

The senior nurse team at Salisbury District Hospital have been shortlisted for their outstanding leadership during the longest major healthcare incident in NHS history – the Novichok poisonings.

Director of nursing Ms Wilkinson and her two deputies supported staff in intensive care and throughout the hospital. They ensured staff had everything they needed to care for the patients and Ms Wilkinson was there not only for communication briefings, but at the end of shifts to make sure staff had someone to talk to.

Ms Wilkinson was also on the front line of interactions with national and international media, representing the hospital with pride, and played a vital role in communicating with government agencies.

South West London BAME Nurse Development Team
South West London BAME Nurse Development Team South West London and St George’s Mental Health NHS Trust

This team created a customised leadership and professional development programme for black, Asian and minority ethnic (BAME) mental health nurses.

A wide range of initiatives aimed at harnessing their talent included focus groups with BAME staff, service users and carers, and support for line managers and senior staff to give feedback and coach BAME nurses. The programme also helped improve the diversity of interview panels and offered participants secondment and development opportunities.

Of the 37 band 3 to 7 participants recruited to the programme, 38% were promoted or developed their careers subsequently, while 100% of those who applied for a job were shortlisted.

Rakiya Suleiman
Rakiya Suleiman NHS Lothian

After 13 years of experiencing the challenges of securing promotion as a BME nurse, Rakiya Suleiman took the bold step of highlighting the fundamental issues to her board.

She was instrumental in securing funding from the NHS and the Big Lottery Fund to establish Leading Better Care Across Difference, a leadership programme for BME nurses in Lothian.

As well as leading the programme’s training and delivery and supporting its 120 participants, Ms Suleiman has taken on a range of leadership roles that contribute to organisational policy and change.

The initiative has been recognised by the Scottish Government as best practice in promoting diversity and an inclusive workplace culture.

Christine Hodby
Christine Hodby West Suffolk Clinical Commissioning Group Ipswich and East Suffolk Clinical Commissioning Group

A multi-agency review of safeguarding for adults in Suffolk determined that healthcare providers needed to have an equal voice with police and social care services in county-wide decisions on systems and policy.

The county’s designated nurse for safeguarding adults, Christine Hodby, has made this strategic vision a reality, never forgetting her nursing roots or her patients’ rights. She fights tirelessly for vulnerable adults and ensures their health is central to all decisions. Nurses attend meetings with police and social care teams.

Crucially she developed a threshold framework so that staff at organisations varying from health to social services, police, local government and religious institutions can determine when to refer to healthcare services. She influences county-wide policies and has secured funding for two nurse colleagues to support her.

Learning Disability Nursing Award
Learning Disability Nursing Award
Michael Fullerton
Michael Fullerton Care Management Group

Clinical director Michael Fullerton has developed an easy-read booklet offering support to the increasing number of people with learning disabilities or autism who have either undergone gender transition or are considering it.

The booklet ensures these men and women, their families and support teams have access to better information and signposting.

Mr Fullerton set up focus groups with people with learning disabilities and autism, and arranged for these to be facilitated by CHANGE, a charity that produces easy-read information. He met transgender support groups and attended conferences to identify key concerns.

The booklet was published at the Learning Disability England annual conference and is freely available nationwide.

Melanie Webb
Melanie Webb Southern Health NHS Foundation Trust

Senior community nurse Mel Webb developed a nurse prescribing role in her trust’s learning disability services to ensure individuals are treated holistically and not over-medicated.

She initiated and promoted the idea with senior colleagues and medical staff before the national STOMP (stopping over-medication of people with a learning disability, autism or both) initiative was introduced by NHS England. She secured training to develop as a non-medical prescriber.

Her activity, review and evaluation moved the project through the pilot into an established clinical role and pathway supporting people with learning disabilities.

Feedback from service users, carers, the multidisciplinary team, GPs and other health and social care professionals has been overwhelmingly positive.

Learning disability team
Learning disability team Royal Liverpool and Broadgreen University Hospitals NHS Trust

This acute hospital team has transformed the hospital experience of people with learning disabilities through what the Care Quality Commission and NHS England recently acknowledged as a standout service.

The team established steering groups with service users as core members, as well as a champion network that provides a forum to address educational, environmental and clinical needs. Training has been given to more than 3,400 staff, resulting in fundamental cultural change in the trust.

Length of stay for more than 543 patients has been halved and the team has co-produced foundation-level learning disability and autism training and information packs that are now used by 12 trusts and primary care services in Cheshire and Merseyside.

Stephen Lawson
Stephen Lawson UK Supported Living Services

Clinical lead Stephen Lawson has developed a digital dashboard that supports staff to enhance opportunities for clients.

It helps managers see the extent to which challenging behaviours are generated by organisational and individual staff members’ performance, and how this in turn affects anxiety levels, communication and behavioural difficulties and, consequently, the isolation of the people they support.

Since the dashboard was introduced there has been a 30% increase in community access by clients with a learning disability. Staff members record far more ‘positive’ incidents and staff retention has significantly improved as they see the success of their positive interaction.

Sunil Rodrigo
Sunil Rodrigo Your Healthcare CIC

Community nurse Sunil Rodrigo could see adults with learning disabilities in his area had higher use of invasive laxatives, poor bowel-monitoring systems and excessive daily use of prescribed laxatives. This had short and long-term effect on their bowel health and quality of life.

His comprehensive service aims to minimise bowel problems arising from low fluid intake, poor exercise or diet regime, and over-use of laxatives.

Environmental factors, such as access to toilets and staffing support, are discussed with carers. Concise individualised bowel management guidelines are devised and agreed with clients with capacity, service providers and GPs, addressing physical and environmental factors.

Mental Health Nursing Award
Mental Health Nursing Award
Gloucester House nursing team
Gloucester House nursing team Tavistock and Portman NHS Foundation Trust

Since clinical lead Kirsty Brant joined Gloucester House, a special school for children with complex social, emotional and mental health needs in London, nurses and education staff have worked together in a pioneering collaboration.

The pupils, age 5-14 years, have experienced complex trauma and their attachment, neurodevelopmental and social communication needs  were often not being met.

The staff used core nursing skills and a holistic psychosocial approach approach – working alongside pupils at lunch, play times and in groups – to provide clinical support.

The approach by the nine-strong team includes targeted interventions around self-esteem, emotional literacy, physical well-being and mindfulness. They report marked improvements in pupils’ educational attainment and behaviour.

Rachel Luby
Rachel Luby East London NHS Foundation Trust

Clinical practice lead Rachel Luby is on a mission to transform sexual health and expression and approaches to intimacy in her forensic mental health unit.

She believed existing practice failed to recognise that patients are sexual beings who should not have to give up healthy sexual expression while in hospital, which could make initiating new relationships after they leave hospital more difficult.  

She has driven policy and guideline changes, and a sexual health nurse has attended the ward to offer screening, advice and treatment. Plans include a weekly group on love, sex and intimacy and a sexual expression care plan for each patient.

University of Exeter community mental health team
University of Exeter community mental health team Devon Partnership NHS Trust

A student’s death by suicide at the University of Exeter led community service manager John Lilley to lobby for a nurse-led mental health team on campus, offering a dedicated secondary care service.

He secured funding for the service, provided in partnership with the university and Devon County Council, and he and his team designed it.

The team aims to reduce emergency assessment, increase timely access to therapy and react rapidly when needed.

It provides supervision and guidance to encourage student well-being, supports those at higher risk and attends student union, university and fresher events to raise the profile of mental health services.

Victoria Callaghan
Victoria Callaghan Pladis Global

When an employee at snacking company Pladis Global took their own life, occupational health and well-being specialist practitioner Victoria Callaghan was shocked that no one spoke about it.

As part of a two-year mission to ‘stop the stigma’ and prevent further suicide attempts, she led an initiative that provides awareness training for managers and a programme offering counselling and advice to employees and their families.

She has created a network of more than 100 trained mental health and well-being ambassadors across the company’s UK and Ireland sites.

The occupational health team has had mental health training, and awareness campaigns are run quarterly.

Grangewood Crisis Service
Grangewood Crisis Service Western Health and Social Care Trust

To overcome patients’ reluctance to complete suicide safety plans, and to raise awareness of them with families, Grangewood Crisis Service in Londonderry produced individualised plans promoting recovery and increasing resilience.

It held events in the hospital and community, and successfully pitched for funding from Western Health and Social Care Trust. Training for staff in all disciplines is being rolled out.

Evaluation shows 90% of patients have a safety plan and find it helpful, compared with 40% previously. Crucially, patients’ families are all aware of the plan.

A survey showed 65% of staff agree safety planning is meaningful, up from 45%.

Nursing Older People Award
Nursing Older People Award
Anne Sanderson
Anne Sanderson NHS Lothian

This community bladder and bowel nurse specialist has been shortlisted for her work improving the patient experience and outcomes of people admitted to acute hospitals in NHS Lothian. Her in-reach project has ensured patients return home more quickly and prevented rising numbers of people with hospital-acquired incontinence. Ms Sanderson implemented a continence assessment tool and embedded it using posters/banners, newsletters and the intranet. She integrated the assessments into the electronic patient record and delivered a programme of staff education. The pilot was so successful that funding has been extended, leading to the first dedicated acute hospital bladder and bowel nurse specialist role in Scotland.

Lindsay Rees
Lindsay Rees Colten Care

Clinical manager Lindsay Rees has significantly reduced the number of falls in two care homes through a project at Colten Care, which operates care homes in the south of England.

She introduced an individual falls risk factor assessment and care plan using the findings of an in-depth literature review of best practice in falls management. The plan was supported by a staff education and awareness programme.

One home is recording 47% fewer falls per week since the project. In the other home, a relaunch of the project after a challenging first phase has seen a 35% drop in falls per week.

Dementia team
Dementia team Royal Trinity Hospice

Dementia team members Nuno Santos Lopes, Sarah Priestley and Karen McIvor have improved end of life care for people with dementia at the Royal Trinity Hospice in London.

They provide symptom control and psychosocial, welfare and carer support, and patients have access to respite care.

As a result of their efforts, patients are able to self-refer, an additional dementia nurse specialist has been added and advanced care planning prioritised.

The team has reduced unnecessary hospital admissions and made it possible for 69% of those they supported to die in their preferred place. Nearly 50% of these were at home, compared with an average in England of 8%.

Reach team
Reach team Northern Health and Social Care Trust

A project to enhance the skills of nurses in nursing homes at a trust in Northern Ireland is reducing avoidable emergency department attendances.

The Reach initiative at Northern Health and Social Care Trust provides support to homes and bespoke training to address issues such as deteriorating urinary symptoms, winter pressures, diabetes and end of life.

Average emergency department attendance per home has fallen as a result of the initiative, which has improved the residents’ health and experience, including those at end of life. Nurses working in the homes report feeling more confident with their enhanced skill set and knowledge.

Suzanne Thomas
Suzanne Thomas Cardiff and Vale University Health Board

Trauma nurse practitioner Suzanne Thomas implemented a range of initiatives to improve pain assessment and management of older people with hip fractures at Cardiff and Vale University Health Board.

Audits had shown inadequate pain relief was being given both pre- and post-operatively.

Ms Thomas organised focus group meetings and engaged with nurses, trauma surgeons and orthogeriatric teams in the trust’s emergency and assessment units and ward areas.

Coupled with the introduction of nerve blocks and prescribing of paracetamol and ‘as required’ prescribed analgesics, the administration of pain relief pre-operatively rose to almost 100%.

Patient’s Choice Award
Patient’s Choice Award
Valerie Miller
Valerie Miller Western Health and Social Care Trust

Ms Miller, teenage and young adult clinical nurse specialist at Altnagelvin Area Hospital, was nominated by Jacqueline Cowan:

‘Being diagnosed with cancer was one of the scariest moments in my life, and my parents were equally terrified.

‘No one has been there for us as much as Valerie Miller – whether it’s a phone call to see how I am or staying late to visit the ward. She has been a shoulder to cry on, a distraction from the chemo, an amazing source of support.

‘She has found ways to make me laugh even when I wanted to cry. And she made sure an Xbox was available every time I was in for chemo or admitted to hospital.’

Andrea Jennings
Andrea Jennings University Hospitals of Morecambe Bay NHS Foundation Trust

Jonas Thorsen and Catherine Dwyer nominated their district nurse. Ms Dwyer says: ‘We recently lost our spouses to cancer and we were all cared for with outstanding professionalism and compassion by Andrea Jennings.

‘She has a vocation. She gives of herself and cares for not just the patient, but their families as well. When I had a virus she arranged for night sitters. She is proactive and would solve medical problems when other professionals did not know what to do.

‘Ms Jennings made seasonal cloth bags for her patient’s medication drivers, putting a smile on her face, and went above and beyond in her own time to make sure her pain was alleviated.’

Sarah Everett
Sarah Everett NHS Greater Glasgow and Clyde

Govan Health Centre practice sister Ms Everett was nominated by John Alexander:

‘Ms Everett has been the driving force behind our Men’s Shed, which addresses men’s isolation and loneliness and the lack of positive activities for men who no longer have anywhere to go each day.

‘She has been so willing to go the extra mile for men like us, dedicating hours to navigating around red tape with her infectious enthusiasm. She doggedly motivates all involved to keep going even when dealt bitter blows.

‘The Shed has changed lives. People have a reason to get up in the morning and face what used to be problems, but now have become challenges.’

Emeka Madubeze
Emeka Madubeze Regis Healthcare

Hill View Hospital mental health nurse Emeka Madubeze was nominated by teenager Zaynab Sohawon.

‘When the low secure unit allocated Mr Madubeze as my named nurse, little did I know that this was going to be the best thing to happen to me.

‘Mr Madubeze showed empathy, patience and never-ending diligence. His gentle manner, integrity and professionalism, as well as his innovative ideas, eased me into my journey to recovery. He encouraged me to use fitness to improve my mental health and steadfastly persevered to help me strive for mental stability.

‘I went from being psychotic and tying a suspended ligature to having unescorted leave with my family for the first time in two years.’

Victoria Wilson
Victoria Wilson The Healthcare Centre, Preston

Nurse practitioner Ms Wilson was nominated by Nicola Davies, who describes her as a dedicated patient advocate:

‘After a car accident, I have back problems, arthritis in my hip and chronic neuropathic pain, not to mention psychological and social effects. Without Ms Wilson listening to me and acting on my changes, I would not be the person I am today.

‘Her caring, proactive attitude and courage to try new things have meant that I am able to remain working, have a more normal social life and no longer need counselling. She involves me in my care, gives me choices, has fought for me to see specialists and stays late to call me to check on my pain.’

Team of the Year Award
Team of the Year Award
University Hospital Wishaw senior nursing team
University Hospital Wishaw senior nursing team NHS Lanarkshire

When University Hospital Wishaw was identified as having an above-average mortality rate, its senior nursing team led a successful programme of improvement in collaboration with other groups of healthcare professionals.

The team, led by chief nurse Gillian McAuley, improved patient safety and experience by creating a culture of openness and respect, and by empowering staff to raise any concerns about care. This culture included patients, relatives and carers in care decisions if they wished to give their input.

An evaluation of the programme shows a 29% reduction in mortality rate, a
30% reduction in falls with harm, and a 48% reduction in incidents of cardiac arrest. Complaints about nursing care fell by 32%.

Community Response Team
Community Response Team Bridgewater Community Healthcare NHS Foundation Trust

A partnership initiative between Wigan Council and the NHS led to the creation of the team, which sees and treats older people in crisis in their own home when it is safe to do so.

Advanced nurse practitioners, community matrons and district nurses work with social workers, therapists and clinicians to provide person-centred care and coordinated support from the most appropriate services.

Nurse consultant for older adults Marie Hart is responsible for the project’s strategic implementation and operational delivery.

The team has delivered more than 5,000 interventions for people in crisis, which resulted in only 79 patients needing to be sent to the emergency department. Since the initiative began, almost 1,400 fewer ambulances have been called to take patients to hospital.

Community Enhancing Recovery Team
Community Enhancing Recovery Team Sheffield Health and Social Care NHS Foundation Trust

This nurse-led multidisciplinary team provides intensive rehabilitation and recovery services for patients with mental illness who previously resided in locked, out-of-area facilities. It delivers bespoke packages of care to individuals in their own home, which means they can live close to family and friends.

A strong focus on staff development has created a dynamic, committed and compassionate team.

More than 50 patients have been able to leave locked rehabilitation placements thanks to the team’s support, with most living independently.

As well as transforming patients’ lives, the number of out-of-area treatment bed nights has been reduced by 99%, and there has been a significant reduction in emergency department attendances and hospital admissions.

The reductions in out-of-town expenditure now funds the team, which has delivered additional savings of £500,000.

Acute and Emergency Medicine Team
Acute and Emergency Medicine Team Medway NHS Foundation Trust

This team, led by nurse consultant Cliff Evans, propelled an emergency department that had been stuck in special measures for years into an innovative, dynamic unit that develops its nurses and delivers excellent care.

Nursing vacancy rates have been cut from 65% to 2%, and a preceptorship programme for newly qualified nurses, and in-house BSc and MSc courses, have significantly improved nurse retention rates.

A new triage system has transformed patient safety, and a dedicated resuscitation team ensures 98% of patients diagnosed with severe sepsis are treated within one of admittance. A 24-hour dedicated hip fracture pathway for older people is delivered by associate practitioners.

Early Supported Discharge Team
Early Supported Discharge Team Swansea Bay University Health Board

Interprofessional collaboration has helped this team’s rehabilitation programme at Neath Port Talbot Hospital to reduce prolonged and unnecessary hospital stays – which in turn reduces the risk of functional and psychosocial decline associated with such stays.

The team uses positive risk-taking to achieve realistic rehabilitative goals, including mobility, activities of daily living, psychosocial factors, cognition, continence, relationships, pain, and returning to work or driving. Patients’ families and carers are asked for their input, ensuring that their needs are considered.

In the first three months of the initiative, 48 patients had been discharged within 24 hours following completion of rehabilitation. The team has saved 546 hospital bed days, which equates to £70,980 of savings. A patient satisfaction questionnaire has captured positive feedback.

Wound Prevention and Treatment Award Sponsored by BBI and Arjo
Wound Prevention and Treatment Award Sponsored by BBI and Arjo
Emma Williamson
Emma Williamson Angel Hill Surgery

Practice nurse manager Emma Williamson has transformed management of leg ulcers at a surgery in Suffolk, increasing the number of healed wounds, improving patient experience and freeing up time for community and practice nurses.

She made a case for a Doppler machine at the Angel Hill Surgery in Bury St Edmunds and arranged training for nurses on leg ulcer management.

Her weekly holistic clinic includes bloods, a Doppler study, referrals to weight loss and smoking cessation services, and leg washing and dressing.

The reduction in leg ulcers has saved 16 hours of nursing time per week, and the cost of supplies has fallen.

Tissue viability team
Tissue viability team Kingston Hospital NHS Foundation Trust

Lead tissue viability nurse specialist Alison Williams devised, wrote and implemented a pressure ulcer strategy at a trust in Surrey to reduce the number of avoidable pressure ulcers

Pressure ulcer risk is now discussed at a daily medical therapies session at Kingston Hospital NHS Foundation Trust, and completion of skin condition documentation has become routine, improving handovers to community teams.

Ms Williams developed a pressure area patient information leaflet and a tissue viability webpage for staff, patients and carers. Actions were recorded and used to share learning.

The number of trust-acquired avoidable pressure ulcers has fallen by almost 50% as a result.

Julie Mullings
Julie Mullings Manchester University NHS Foundation Trust

Community matron for tissue viability Julie Mullings designed and implemented a community leg ulcer pathway at her trust to improve clinical outcomes and experience.

The holistic assessment at Manchester University NHS Foundation Trust includes leg ulcer and wound assessment charts as well as a treatment algorithm. Ms Mullings ran the launch and pilot, trained district nursing teams and collected healing data.

Healing rates have fallen to 69 days from 123 days after the pathway’s introduction, with treatment costs down by almost half to £266. Previously patients waited 30-48 weeks, but now there is no waiting time.

The pathway is being adopted across north west England.

Wound care service in-reach team
Wound care service in-reach team Bristol Community Health

A training model on wound care has seen a team of specialist nurses working with clinicians to share expertise and provide support and training to staff and patients on tissue viability.

The initiative at Bristol Community Health, a staff-owned community interest company, has improved assessment and treatment for patients and reduced pressure injuries.

Community nurses say the close working has increased their wound care knowledge.

Completion of comprehensive wound assessments has increased to 90% from 11%, with an 80% reduction in patients waiting for Doppler assessment.

The number of pressure injury prevention treatment plans being documented has also risen.

Jemell Geraghty
Jemell Geraghty Royal Free London NHS Foundation Trust

Research by the Royal Free London NHS Foundation Trust’s lead nurse on tissue viability Jemell Geraghty focused on injecting drug users who have leg ulcers.

After a literature review and gaining ethics approval, Dr Geraghty developed relationships needed to recruit participants and wrote a patient information leaflet.  

The findings show these patients’ leg ulcers cause pain that may continue for many years, but there is no clear clinical pathway for them.

The study highlights their negative experiences when in contact with healthcare professionals, and shows that clinicians need more training to ensure these patients can access appropriate treatment in a caring environment.